Dr John Suydam Groh, DO | |
1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | |
(772) 398-1990 | |
(772) 398-1925 |
Full Name | Dr John Suydam Groh |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 1800 Se Tiffany Ave, Port Saint Lucie, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114296548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | UO 2705 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allatoona Emergency Group Pc | 2567847684 | 18 |
Entity Name | Mount Lassen Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730598590 PECOS PAC ID: 6305160227 Enrollment ID: O20150126001140 |
Entity Name | Allatoona Emergency Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487381349 PECOS PAC ID: 2567847684 Enrollment ID: O20220909001871 |
Mailing Address | Practice Location Address |
---|---|
Dr John Suydam Groh, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 398-1990 | Dr John Suydam Groh, DO 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 Ph: (772) 398-1990 |
Dr. Michael Gulenay, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 | |
Brant D Hinchman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-335-4000 | |
Kristine N. Stark-leyva, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-3800 | |
Rick Carlson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-398-1990 |